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Descriptors:
Foreign Countries; Physician Patient Relationship; Interpersonal Communication; Individual Characteristics; Asian Culture; Social Distance; Interpersonal Relationship; Context Effect; Medical Education; Grounded Theory; Clinics; Internal Medicine; Interviews

Abstract:
Studies of doctor-patient communication generally advocate a partnership communication style. However, in Southeast Asian settings, we often see a more one-way style with little input from the patient. We investigated factors underlying the use of a one-way consultation style by doctors in a Southeast Asian setting. We conducted a qualitative study based on principles of grounded theory. Twenty residents and specialists and 20 patients of a low or high educational level were interviewed in internal medicine outpatient clinics of an Indonesian teaching hospital and two affiliated hospitals. During 26 weeks we engaged in an iterative interview and coding process to identify emergent factors. Patients were generally dissatisfied with doctors' communication style. The doctors indicated that they did not deliberately use a one-way style. Communication style appeared to be associated with characteristics of Southeast Asian culture, the health care setting and medical education. Doctor-patient communication appeared to be affected by cultural characteristics which fell into two broad categories representing key features of Southeast Asian culture, "social distance" and "closeness of relationships", and to characteristics categorized as "specific clinical context". Consideration of these characteristics could be helpful in promoting the use of a partnership communication style. (Contains 2 tables.) Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Surgery; Group Dynamics; Interpersonal Communication; Communication Skills; Verbal Communication; Classification; Video Technology; Dialogs (Language); Vertical Organization; Power Structure; Safety

Abstract:
Focused dialogue, as good communication between practitioners, offers a condition of possibility for development of high levels of situation awareness in surgical teams. This has been termed "achieving ensemble". Situation awareness grasps what is happening in time and space with regard to one's own unfolding work in relation to that of colleagues, and is necessary to maintain patient safety throughout a surgical list. We refined a typology, initially developed for use in studying the dynamics of teams in aviation safety, of 10 kinds of communication within two broad areas: "Reports", or authoritative acts of communication setting up a monological or authoritative climate; and "Requests", or facilitative acts of communication setting up a dialogical or participatory climate. We systematically mapped how orthopaedic surgical teams use verbal communication through analysis of videotaped operations using the typology. We asked: "do orthopaedic surgical teams set up the conditions of possibility for the emergence of situation awareness through effective communication?" We found that orthopaedic surgical teams tend to produce monological rather than dialogical climates. Dialogue increases with more complex cases, but in routine work, communication levels are depressed and one-way, influenced by surgeons working within a traditionally hierarchical and authoritative culture. We suggest that such a monological climate inhibits development of situation awareness and then compromises patient safety. The same teams, however, generate potentially rich educational climates through exchange of profession-specific knowledge and skills, and we suggest that where technical skill exchange is good, non-technical or interpersonal communication skill levels can follow. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Computer Software; Computer Assisted Instruction; Multimedia Instruction; Content Analysis; Discourse Analysis; Cooperative Learning; Geometry; Problem Solving; Interpersonal Communication; Group Activities; Research Methodology; Coordination

Abstract:
In CSCL research, collaborative activity is conceptualized along various yet intertwined dimensions. When functioning within these multiple dimensions, participants make use of several resources, which can be social or content-related (and sometimes temporal) in nature. It is the effective coordination of these resources that appears to characterize successful collaborative activity. This study proposes a methodological approach for studying coordination of resources when solving geometry problems with dynamic geometry software. The aim is to suggest a methodological lens to capture both the content-related and social discourse within the context of geometry problem solving using dynamic geometry software. As an example, the paper also provides an analysis of a dyad's face-to-face interaction using the suggested framework. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Descriptors:
Higher Education; Student Diversity; Cultural Pluralism; Cultural Awareness; Consciousness Raising; Interpersonal Communication; Social Bias; Perspective Taking; Religion; Individual Differences; Racial Differences; Institutional Role

Abstract:
There are significant concerns about campus relationships, primarily between white students and students of color, but also related to students of different religious backgrounds (e.g., Christian and Muslim). Despite the growing diversity in faculty and student bodies on campus, students could still navigate through college without having to interact in meaningful ways with others of different backgrounds. There are many priorities for colleges and universities to pursue at an institutional level. It may be more important for administrators to prioritize increased diversity in recruitment and retention of students (and faculty) than to take ownership of the challenge of making the experience of campus diversity positive and meaningful. Consequently, campus organizations or even individuals may need to undertake efforts aimed at increased intercultural understanding and interaction. It takes more than diversity of campus populations for individuals to interact in meaningful ways with others of different backgrounds. In this article, the authors share their experience launching a series of campus conversations focused on raising personal awareness and building relationships across difference. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Descriptors:
Reflection; Teacher Attitudes; Patients; Pragmatics; Pharmacy; Focus Groups; Interpersonal Communication; Student Attitudes; Metalinguistics; English for Academic Purposes; Video Technology; Simulation; Interviews; Pharmaceutical Education; Recall (Psychology); Second Language Learning; Second Language Instruction; Language Usage

Abstract:
This article reports on a research process where focussed reflection on pharmacist-patient simulations led to meta-pragmatic awareness and directions for pedagogical practice. The research participants were third-year EAL pharmacy students, who were practising being pharmacists, and pharmacy staff members, who played the part of patients. Analysis of the students' videoed performances showed that some areas of pragmatic weakness had a negative impact on professional communication, including indirectness in advice-giving sequences. Reflection on such indirectness, the focus of this article, occurred in two stages: when the participants were interviewed after viewing their simulations and when participant focus groups were held to discuss research findings a year later. Both the stimulated recall interview and the focus group data showed the value of reflection for the students who observed and commented on the effect their language choices had on the patients, developed a meta-pragmatic language for describing and explaining these choices, and identified areas and possible strategies for language improvement. The research process also assisted pharmacy staff members to clarify their concerns regarding students' pragmatic choices and to suggest teaching activities responsive to the research data. The article illustrates how teachers and students can co-operate to develop ESP and discipline-based pedagogical practice. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Descriptors:
Teaching Methods; Educational Change; Student Behavior; Phenomenology; Grade 8; Academic Achievement; Computer Uses in Education; Middle Schools; Interviews; Student Attitudes; Teacher Attitudes; Educational Technology; Classroom Environment; Interpersonal Communication; Professional Development; Urban Schools; Laptop Computers

Abstract:
The impact of a one-to-one computing initiative at a Midwestern urban middle school was examined through phenomenological research techniques focusing on the voices of eighth grade students and their teachers. Analysis of transcripts from pre and post-implementation interviews of 47 students and eight teachers yielded patterns of responses to illuminate how one-to-one computing changed students' learning experiences and teachers' instructional practices. Key themes that emerged were changes in teacher pedagogy, effect on student learning experiences, impact on classroom behavior and management, potential for improved communications, and suggestions to address professional development needs. The students demonstrated their learning in varied and creative ways through the use of computer-based lessons. However, the altered format presented new demands on teachers as a delivery model. Although some students were distracted by gaming and chatting opportunities, learning benefits were reported for students of varied ability levels. This study builds on the theoretical framework supporting the role and use of technology to foster learning and to prepare students for a global economy. The focus on student and teacher voices provided the opportunity to explore a new perspective and engage middle school students, teachers, and administrators in school change efforts. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Individualized Education Programs; Autism; Communication Skills; Young Children; Teaching Methods; Pervasive Developmental Disorders; Early Childhood Education; Preschool Children; Interpersonal Communication; Generalization; Maintenance; Student Behavior; Behavior Modification; Instructional Effectiveness

Abstract:
This 5-month study examined the impact of a behaviorally based naturalistic teaching strategy, milieu teaching, on the communication skills of preschool-aged children with Autism Spectrum Disorder (ASD) in an early childhood special education (ECSE) classroom. A multiple baseline across participants design was used. Communication targets were selected based on each child's Individualized Education Plan. Milieu teaching strategies were implemented in two activities per day per target. Generalization and maintenance effects were also determined. Results indicated that milieu strategies are an effective means of providing communication skills instruction for young children with ASD in an ECSE classroom. (Contains 3 figures.) Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Descriptors:
Adolescents; Focus Groups; Student Attitudes; Teacher Student Relationship; Urban Schools; Educational Environment; Student Needs; Self Determination; Interpersonal Communication; College Freshmen; After School Programs; Community Programs; Youth Programs; Secondary Schools; Barriers

Abstract:
In urban secondary schools where underpreparation and dropping out are real world concerns, students understand that their relationships with teachers affect their learning. Using descriptive coding and thematic analysis of focus group data, we explore adolescents' perceptions of the "bridges" that foster and the "barriers" that inhibit supportive relationships with teachers, and the boundary expectations that function as both. The characteristics of supportive student-teacher relationships identified by youth participants suggest a number of teacher practices capable of meeting adolescents' developmental needs and, as such, are likely to positively influence adolescents' developmental and academic trajectories. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Descriptors:
Workplace Literacy; Vocational Education; Numeracy; Foreign Countries; Ethnography; Entry Workers; Retailing; Sales Occupations; Best Practices; English (Second Language); English Language Learners; Change Strategies; Barriers; Performance Factors; Number Concepts; Semi Structured Interviews; Sociolinguistics; Employee Attitudes; Employer Attitudes; Merchandising; Interpersonal Communication; Interpersonal Competence; Social Cognition

Abstract:
This paper reports on an ethnographically based study of entry level supermarket work. The study, carried out in a large suburban supermarket in Auckland, New Zealand, focused on the literacy and numeracy practices of supermarket assistants, all who had English as an additional language. It found that skills such as oral communication, personal presentation, reliability and motivation were considered vital by management for good "customer service", a fundamental tenet of the supermarket and essential for its successful operation. However, for some assistants, the mastery of highly context-specific literacy texts and potentially complex "embedded" numeracy was also necessary in order for them to carry out their work. This requirement was often poorly understood by management. The paper describes some of the literacy and numeracy challenges faced by assistants and their different personalised strategies for establishing meaning. It also discusses the significance of the findings for the teaching of literacy and numeracy in vocational training programmes. Findings indicate that off-site programmes have an important role in providing a learning foundation but also point to the importance of, and need for, workplace-specific, needs-based on-the-job literacy and numeracy training. (Contains 2 tables and 2 figures.) Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Descriptors:
Action Research; Teaching Methods; Cooperation; Urban Schools; Faculty Development; Graduate Students; Creativity; Teacher Researchers; Elementary School Teachers; Elementary Schools; Interpersonal Communication

Abstract:
This action research study involves nine elementary school teacher-researchers, one university faculty member, and one graduate student engaged in developing creative pedagogical practices in one elementary school in an urban school in Alabama, USA. Participants found that a teacher's experience of agency and their ability to work creatively depended upon a clear articulation of structures and the identification of areas of flexibility and possibility. Further, participants endeavored to promote avenues for ongoing communication and collaboration between teachers and the principal with the view that creativity based in communication would sustain transformative dialogues in the school. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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